Services Offered

CDDFT is one of the largest integrated care providers in England. 7000 staff serve a population of around 650 000 people. Our vision is Right First Time, Every Time and our values are to provide Safe, Compassionate and Joined-up Care.The trust comprises secondary services including two acute hospitals with Accident and Emergency Departments, six community hospitals and a wide range of Community services.

SPICT Uses

SPICT is being used in the Specialist Frailty Unit in Bishop Auckland Hospital, combined with the Clinical Frailty (Rockwood) Score to identify patients at the highest risk of mortality within 3 months, in order to prioritise “What Matters Most” conversations and Advance Care Planning with our inpatients prior to discharge.A study conducted here showed that for patients with two or more SPICT general indicators and two or more clinical indicators and a Clinical Frailty Score of 6 or more, mortality risk was 50% within 3 months. As a result we now screen all inpatients using SPICT and CFS. We are helping many more patients to develop Advance Care Plans. When our patients are discharged with high quality ACPs, they die in their preferred place of death.This use of SPICT is being “rolled out” within two of our other community hospitals, and the Acute Frailty Teams at our acute hospitals in Durham and Darlington.

Other Information

This QIP has been submitted as an abstract for the British Geriatric Society autumn conference. It is also being included in the new National Statutory Guidance on End of Life and Palliative Care for Integrated Care Board commissioners.

Website: https://cddft.nhs.uk
Contact: Dr Kathryn Boothroyd
Email: [email protected]

Services Offered

Locala Community Partnerships provides NHS community services to over 400,000 people in Kirklees, West Yorkshire and beyond. We are a Community Interest Company – an independent, not-for-profit social enterprise. Being a social enterprise means we have the freedom to improve and develop what we do. We deliver NHS services but in a much more coordinated, integrated and community-focused way. The people who are most in touch with people’s needs – doctors, nurses and therapists as well as elected members of the public are directly involved in shaping as well as providing our services for patients and families. Locala works with local stakeholders; Kirklees Council, Kirkwood Hospice, Yorkshire Ambulance Service and Kirklees Clinical Commissioning Group to plan end-of-life services for the local community.

Locala provides a range of care to adults within the community through nursing, urgent care response, care home support and adult therapy. Clinicians often care for adults living with life-limiting conditions, so future planning and preparation for end-of-life care are key to providing timely, appropriate care.

SPICT Uses

The value of SPICT is well documented, but it is currently used by clinicians as a stand alone application on a mobile phone. Evidence that it has been used to support clinical decision-making is therefore lost within the clinical record. Becoming a Platinum SPICT Partner will enable Locala to develop a SystemOne version of the tool within the online clinical system used by the organisation. The SystemOne SPICT tool will ensure that data is recorded chronologically within a patient’s clinical record.

Website: locala.org.uk/
Contact: Mrs Jill Stancliffe
Email: [email protected]

Services Offered

Palliative Care Team offering ACP to all patients identified as last year of life.New ACP initiative Trust-wide to increase identification of patients suitable for ACP, based on SPICT.ACP offer in Pall Care outpatient clinic and accepted criteria for inpatient referrals.

SPICT Uses

ACP policy refers to SPICT tool for identification of patients.SPICT app referenced in policy and at training sessions for junior doctors and consultants, as well as in ED training programme.

Contact: Dr Antke Hagena
Email: [email protected]

Acute hospital trust.

SPICT Uses

To assist clinicians identify the needs of elderly frail patients and patients with dementia in order to make appropriate decisions and have informed conversations with patients and families about the plan of care, their future and their end of life care needs.

Website: ruh.nhs.uk
Contact: Rachel Davies
Email: [email protected]

Services Offered

South Warwickshire University NHS Foundation Trust provides medical, surgical, emergency, intensive care services, integrated hospital-community frailty service, specialist rehabilitation, haematology, out of hospital services, community nursing as well as oncology and renal medicine services in collaboration locally. The acute and community specialist palliative care teams provide support to these hospital and community services.

SPICT Uses

SPICT is being used within education and training programmes at South Warwickshire University NHS Foundation Trust to support medical and nursing staff across all care settings. SPICT is being used to support clerking doctors and ANPs in the hospital to identify and best manage patients with palliative care needs and to promote the handover of these patients and their care needs on discharge to the community services.

Website: swft.nhs.uk/
Contact: Dr Sarah MacLaran
Email: [email protected]

• Palliative care services
• Education

SPICT Uses

In education sessions.

Website: stwh.co.uk
Contact: Angela Springett
Email: [email protected]

Sussex community NHS Foundation trust is the main provider of community NHS health and care across Sussex, providing essential medical, nursing and therapeutic care to adults, children and families.Our expert teams provide essential medical, nursing, and therapeutic care to adults, children, and families.Our aim across all of our services is to provide people with high quality care that is safe, effective, compassionate and offered with respect. We aim to provide a patient-centred approach allowing patient choice around the location of their care.We provide a range of different services throughout a wide area of Sussex both out in the community and in dedicated clinical areas. In total, we have nearly 6,000 members of staff working across Brighton and Hove, East Sussex, High Weald Lewes and Havens and West Sussex.Our staff work in multi-disciplinary teams combining a range of specialisms and backgrounds linking closely with our health and social care partners to offer integrated, seamless services to our patients.

SPICT Uses

We are using SPICT4ALL tool to assist in identifying people in the last year of their life. It is part of the End of Life Care Strategy for the Trust and is currently being rolled out across community nursing services and forms part of the patients digital record. This will enhance advance care planning at a much earlier stage to ensure robust plans are in place in a timely manner. SPICT4ALL is being embedded into our operational & clinical processes to ensure equity across our patient cohort. Its is also supported by our local ICB and is part of the ongoing ambitions across Sussex with all providers.

Website: sussexcommunity.nhs.uk
Contact: Mrs Lisa O’Hara
Email: lisa.o’[email protected]@nhs.net